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Graft Selection for Revision ACL Reconstruction

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Revision ACL Reconstruction

Abstract

Although primary ACL reconstructions have been considered a successful operation, success rates have still only ranged from 75 to 97 %. Consequently, several thousand revision ACL reconstructions are performed annually. Failures include frank graft rupture and structural failure as well as functional failure with residual instability and pivoting despite the presence of an intact graft. When planning a revision ACL reconstruction, one of the most important considerations is the graft choice. Despite the prevalence of revision ACL reconstruction, there is no universally agreed upon graft choice. Generally, autografts are the preferred graft for revision ACL reconstructions due to their more rapid and complete incorporation into the host tissue, but allograft tissue is used if there are limited autograft options available or if autograft use is relatively contraindicated secondary to patellofemoral pathology. This chapter will focus on the qualities of the different graft sources available (autografts, allografts, and synthetic grafts) along with the advantages and disadvantages of each option.

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Authors and Affiliations

  1. Orthopaedic Surgery, University of Michigan Hospitals, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA

    Jeffrey Wilde MD

  2. Orthopaedic Surgery, Sports Medicine & Shoulder Surgery, MedSport, University of Michigan Health System, 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI, 48106, USA

    Asheesh Bedi MD

  3. Hospital for Special Surgery, Sports Medicine & Shoulder Service, Weill Cornell Medical College, Belaire Building, Floor 1, 525 East 71st Street, New York, NY, 10021, USA

    David W. Altchek MD

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  1. Jeffrey Wilde MD
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  2. Asheesh Bedi MD
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  3. David W. Altchek MD
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Correspondence to Asheesh Bedi MD .

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  1. Orthopaedic Surgery, Hospital for Special Surgery Weill Cornell Medical College, New York, New York, USA

    Robert G. Marx

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Wilde, J., Bedi, A., Altchek, D.W. (2014). Graft Selection for Revision ACL Reconstruction. In: Marx, R. (eds) Revision ACL Reconstruction. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0766-9_8

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